Individual provider · Type 1 NPI

Jacob Alexander Reshetar, MD

Emergency Medicine Physician · Peoria, IL

NPI number 1780326652 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Emergency Medicine Physician Primary 207P00000X74729 (AZ)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1780326652

Jacob Alexander Reshetar, MD's National Provider Identifier is 1780326652, issued on Apr 11, 2022. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Peoria, IL. The record was last updated on Mar 17, 2026.